Acute posterior multifocal placoid pigment epitheliopathy associated with serous retinal detachment: A case report. (May 2022)

• Record Type: Journal Article
• Authors: Mahjoub, Ahmed; Ben Abdesslem, Nadia; Ben Youssef, Chiraz; Zaafrane, Nesrine; Mahjoub, Anis; Ben Abderrazek, Atf; Sellem, Ilhem; Chtioui, Hanin; Ghorbel, Mohamed; Mahjoub, Hachemi
• Is Part Of: Annals of medicine and surgery. Volume 77(2022)
• Publication Date: 2022-05
• Subjects: Case report -- Serous retinal detachment -- Acute posterior multifocal placoid pigment epitheliopathy -- OCT -- Fluorescein angiography; APMPPE Acute posterior multifocal placoid pigment epitheliopathy -- LE Left eye -- OCT Optical Coherence Tomography -- RE Right eye -- SRD Serous retinal detachment -- VKH Vogt-Koyanagi-Harada; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.103600
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: We report the occurrence of serous retinal detachment (SRD) in acute posterior multifocal placoid pigment epitheliopathy (APMPPE). A 22-year-old man with no general or ophthalmological pathological history presented with an acute and bilateral decreased visual acuity. There was no notion of recent flu or recent vaccination. There were anterior chamber cells and vitreous cells. Fundus revealed white-yellowish lesions, scattered on posterior pole and periphery, associated with SRD in both eyes. Fluorescein Angiography showed early hypofluorescence followed by late hyperfuorescence. Optical coherence tomography (OCT) showed hyperreflective bands of the outer nuclear layer and interruption of the ellipsoid zone associated with bilateral SRD. Repeat OCT revealed a spontaneous and complete regression of SRD in both eyes, and improvement of visual acuity after one week of evolution without any treatment. Serous retinal detachment is an uncommon manifestation of APMPPE. It is more suggestive of Vogt-Koyanagi-Harada disease (VKH), although angiographic features are typically observed in APMPPE. Moreover, spontaneous decrease of SRD within a few days is more in favor of APMPPE. Highlights: Report the occurrence of serous retinal detachment in acute posterior multifocal placoid pigment epitheliopathy. Enhance the difference between Vogt-Koyanagi-Harada disease and acute posterior multifocal placoid pigment epitheliopathy complicated by serous retinal detachment. Report the spontaneous regression of the serous retinal detachment several days after the beginning of the symptomatology without any treatment.